Provider Demographics
NPI:1235167776
Name:SAPERSTONE, JAMES DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:DAVID
Last Name:SAPERSTONE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:711 TROY SCHENECTADY RD STE 203
Mailing Address - Street 2:
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-2461
Mailing Address - Country:US
Mailing Address - Phone:518-782-3700
Mailing Address - Fax:518-782-3799
Practice Address - Street 1:3732 CARMAN RD
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12303-5422
Practice Address - Country:US
Practice Address - Phone:518-356-4132
Practice Address - Fax:518-355-3996
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2018-01-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY138615208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY10001797OtherCDPHP
NY11533OtherGHI/HMO
NY000401274001OtherBSNENY
NY4674249OtherAETNA
NY060422000009OtherFIDELIS
NY200264OtherSENIOR WHOLE HEALTH
NY545171OtherEMPIRE BC
NY00571600Medicaid
NY26116OtherMVP